Dr Jack Thomas Li, DC | |
12340 Santa Monica Blvd, Suite 130, Los Angeles, CA 90025-2500 | |
(310) 207-1007 | |
Not Available |
Full Name | Dr Jack Thomas Li |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 15 Years |
Location | 12340 Santa Monica Blvd, Los Angeles, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043450653 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC 31142 (California) | Primary |
Provider Name | Jack Li, D.c., A Chiropractic Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639715352 PECOS PAC ID: 4789018789 Enrollment ID: O20191230000279 |
Mailing Address | Practice Location Address |
---|---|
Dr Jack Thomas Li, DC 12340 Santa Monica Blvd, Suite 130, Los Angeles, CA 90025-2500 Ph: (310) 207-1007 | Dr Jack Thomas Li, DC 12340 Santa Monica Blvd, Suite 130, Los Angeles, CA 90025-2500 Ph: (310) 207-1007 |
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